Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016

To examine the associations between ambient temperature and hospitalizations for acute kidney injury (AKI) in Queensland, Australia, 1995–2016. Data were collected on a total of 34 379 hospitalizations for AKI from Queensland between 1 January 1995 and 31 December 2016. Meteorological data were down...

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Main Authors: Peng Lu, Guoxin Xia, Shilu Tong, Michelle Bell, Shanshan Li, Yuming Guo
Format: Article
Language:English
Published: IOP Publishing 2021-01-01
Series:Environmental Research Letters
Subjects:
Online Access:https://doi.org/10.1088/1748-9326/ac0c44
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author Peng Lu
Guoxin Xia
Shilu Tong
Michelle Bell
Shanshan Li
Yuming Guo
author_facet Peng Lu
Guoxin Xia
Shilu Tong
Michelle Bell
Shanshan Li
Yuming Guo
author_sort Peng Lu
collection DOAJ
description To examine the associations between ambient temperature and hospitalizations for acute kidney injury (AKI) in Queensland, Australia, 1995–2016. Data were collected on a total of 34 379 hospitalizations for AKI from Queensland between 1 January 1995 and 31 December 2016. Meteorological data were downloaded from the Queensland Government’s Department of Environment and Science. We assessed the temperature-AKI relationship using a time-stratified case-crossover design fitted with conditional quasi-Poisson regression model and time-varying distributed lag non-linear model. Stratified analyses were performed by age, sex, climate zone and socioeconomic group. Both cold and hot temperatures were associated with hospitalizations for AKI. There were stronger temperature-AKI associations among women than men. Cold effects were only positive in the ⩾70 years age group. Hot effects were stronger in the ⩽59 years age group than in the >60 years age group. In different climate zone areas, cold effects decreased with increasing local mean temperatures, while hot effects increased. In different socio-economic status groups, hot effects were stronger in the poor areas than the affluent areas. From 1995 to 2016, the magnitude of associations between cold temperature and hospitalizations for AKI decreased, while the hot effect increased. The associations between hot temperature and hospitalizations for AKI become stronger, while the magnitude of cold effect decreased from 1995 to 2016. This trend may accelerate over the coming decades, which warrants further research. More attention is needed toward susceptible population including women, people ⩾70 years, and the people living in hot climate zones and in low socioeconomic status areas.
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spelling doaj.art-dd1ea58488074af3b40b381c643486372023-08-09T15:01:57ZengIOP PublishingEnvironmental Research Letters1748-93262021-01-0116707500710.1088/1748-9326/ac0c44Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016Peng Lu0https://orcid.org/0000-0002-8755-0958Guoxin Xia1Shilu Tong2Michelle Bell3Shanshan Li4Yuming Guo5Binzhou Medical University , Yantai, Shandong, People’s Republic of China; Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria, AustraliaBinzhou Medical University , Yantai, Shandong, People’s Republic of ChinaSchool of Public Health and Social Work, Queensland University of Technology , Brisbane, AustraliaSchool of the Environment, Yale University , New Haven, CT, United States of AmericaDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria, AustraliaDepartment of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University , Melbourne, Victoria, AustraliaTo examine the associations between ambient temperature and hospitalizations for acute kidney injury (AKI) in Queensland, Australia, 1995–2016. Data were collected on a total of 34 379 hospitalizations for AKI from Queensland between 1 January 1995 and 31 December 2016. Meteorological data were downloaded from the Queensland Government’s Department of Environment and Science. We assessed the temperature-AKI relationship using a time-stratified case-crossover design fitted with conditional quasi-Poisson regression model and time-varying distributed lag non-linear model. Stratified analyses were performed by age, sex, climate zone and socioeconomic group. Both cold and hot temperatures were associated with hospitalizations for AKI. There were stronger temperature-AKI associations among women than men. Cold effects were only positive in the ⩾70 years age group. Hot effects were stronger in the ⩽59 years age group than in the >60 years age group. In different climate zone areas, cold effects decreased with increasing local mean temperatures, while hot effects increased. In different socio-economic status groups, hot effects were stronger in the poor areas than the affluent areas. From 1995 to 2016, the magnitude of associations between cold temperature and hospitalizations for AKI decreased, while the hot effect increased. The associations between hot temperature and hospitalizations for AKI become stronger, while the magnitude of cold effect decreased from 1995 to 2016. This trend may accelerate over the coming decades, which warrants further research. More attention is needed toward susceptible population including women, people ⩾70 years, and the people living in hot climate zones and in low socioeconomic status areas.https://doi.org/10.1088/1748-9326/ac0c44acute kidney injuryhospitalizationQueensland
spellingShingle Peng Lu
Guoxin Xia
Shilu Tong
Michelle Bell
Shanshan Li
Yuming Guo
Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
Environmental Research Letters
acute kidney injury
hospitalization
Queensland
title Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
title_full Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
title_fullStr Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
title_full_unstemmed Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
title_short Ambient temperature and hospitalizations for acute kidney injury in Queensland, Australia, 1995–2016
title_sort ambient temperature and hospitalizations for acute kidney injury in queensland australia 1995 2016
topic acute kidney injury
hospitalization
Queensland
url https://doi.org/10.1088/1748-9326/ac0c44
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AT michellebell ambienttemperatureandhospitalizationsforacutekidneyinjuryinqueenslandaustralia19952016
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